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Caring for an incontinent cat, advice please

Discussion in 'Cat Health and Nutrition' started by Elousarah, Aug 17, 2019.


  1. Elousarah

    Elousarah PetForums Junior

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    Caring for an incontinent cat, advice please?
    Hi any help/advice appreciated. Our cat has been very poorly in the last week with a suspected bladder blockage (we were away on holiday and carer didn’t realise he was ill). The specialist vet we saw thinks he may have been blocked and my daughter picking him up when we got home unblocked his bladder. He is now dribbling urine on and off during the day and vet thinks his bladder muscles have been damaged. He’s had ultrasounds, blood tests, urinalysis as there’s a question he may have infection, crystals. He’s eating and drinking well (struvite dry food from vet)and has put on weight, he’s also playing with toys/wanting to go out. Trying to do everything we can for him with trying different medication as he’s such a lovely natured cat and only 5. We are having to try and express him too. I’m just concerned the leaking urine is making him sore (vet said his bits are sore) and he’s licking a lot. We’ve tried a normal plastic collar for 20 mins to stop him licking but he hated it and walked around bumping into things. Vet said we could bathe him too to help. Anyone with any experience of this who can recommend best way to bathe/any gentle products we could use, any other collar that may be better, or some positive advice, it’s been an awful stressful week. Thank you.
     
  2. Sacremist

    Sacremist Mum to 2 cats and a dog

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    I used these on my cat who had faecal incontinence but only whilst travelling, because he ended up with poo all over his bottom so had to be washed when we arrived at the caravan. They work with urinary incontinence better and would stop your cat from licking. Only problem is if he poops while wearing it and it’s sloppy you will end up having to wash him. I’ll post the link anyway.

    https://www.dog-nappy.co.uk/mobile.html

    14060848-5861-4A02-A2CE-258BA5CC3995.jpeg
     
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  3. Elousarah

    Elousarah PetForums Junior

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    Thank-you I will have a look at them.
     
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  4. Sacremist

    Sacremist Mum to 2 cats and a dog

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    The reason why I used them when travelling was because I used to let him poop on a puppy pad in his basket, but during one journey, when it was warm, I had the windows open and suddenly this large trickle of diarrhoea appeared on the steering wheel with the accompanying foul smell. Even though I wiped it up and cleared his basket. I could still smell it. We had to have the car valeted and I had to strip off at the caravan, wash my clothes and have a shower. It was everywhere. Washing mi lordship’s bottom was easier. Lol!
     
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  5. Soozi

    Soozi PetForums VIP

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    Have you asked your vet if there is an ointment you could use? I have heard that baby nappy rash ointment that does not contain zinc can be used to soothe the soreness but I wouldn’t try that without asking your vet first. It would be the acid in the urine irritating him. :(
    I hope he’s better soon. You could also give him Cystaid or cystophan it might help recovery.
     
    #5 Soozi, Aug 17, 2019
    Last edited: Aug 17, 2019
  6. Elousarah

    Elousarah PetForums Junior

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    Eww no lol, cat poop is the worst smell
     
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  7. Elousarah

    Elousarah PetForums Junior

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    Hi thanks for your reply. I did ask the vet if there was anything I could put on to help but he said not really, that was earlier in the week though and I think he’s gradually getting more sore. He is having 1 dose of metacam a day but it doesn’t seem to be helping, I’m going to ask if there’s any stronger painkiller he could have. I can cope with the wee dribbling and cleaning but upsetting to hear him miaow when he’s licking his bits.
     
  8. Soozi

    Soozi PetForums VIP

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    I am hoping that he will make a full recovery but I would definitely ask your vet again about his poor sore bits and also if you can increase the dose of metacam. Also ask about giving him the supplement cystophan I hope he’s better soon love. Please keep us updated. Poor little man. :(
     
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  9. chillminx

    chillminx PetForums VIP

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    Hi @Elousarah - the treatment for any cat who has a history of blockage is a wet food diet only, + also preferably add a little water too to his wet food. By all means give him the special dietary food for struvite crystals, but not in the dry form of special diet, wet only.

    A useful article by Dr Lisa Pierson, veterinary specialist in feline nutrition:

    https://catinfo.org/feline-urinary-tract-diseases/

    Wet food will increase the volume of his urine and help flush through his kidneys as well as flush out any remaining infection from his bladder and urinary tract. He needs to be encouraged to pee often, and nice big pees and that will improve his bladder function and muscle control.

    But meanwhile, while the dribbling urine is a problem, I would restrict him if you can to one area of the house, preferably an area with a hard floor so it is easy for you to clean. Use a biological enzyme cleaner such as Bio tex stain remover, or a solution of any Bio laundry liquid.

    Vet Bed fleece is essential for an incontinent cat to sleep on in comfort. Put old towels or newspaper underneath the Vet Bed and urine will soak right through the Vet Bed into the towels or newspaper, leaving a dry surface for your cat to sleep on. It will also be easier to clean him up if he is not lying in urine all the time he is asleep.

    https://www.ebay.co.uk/itm/Professi...hash=item1cd0276f43:m:mXLbFMaCMcVQGhc1xzYG4QQ

    Vet Bed can be laundered in the washing machine and dries in a matter of hours. I would place pieces of it around the home so he has places to lie in comfort without soiling your furniture.

    I would use a gentle No-rinse shampoo for cleaning his fur. Use an old clean towel for applying it and pat dry gently with clean dry towels.

    e.g.
    https://www.petsathome.com/shop/en/...-hypoallergenic-shampoo-for-dogs---cats-207ml

    And Animology feline wet wipes are very useful for a quick clean-up of the fur.

    https://www.animology.co.uk/product/feline-fresh-cat-wipes/

    Putting cream on his bottom to relieve soreness risks making things worse as he will likely try and wash it off, making himself more sore in the process. Pain relief would probably be a better solution -- has the vet prescribed Metacam to be given to your cat at home each day?

    EDIT - just seen you have Metacam for him. He may need something else as well such as Yucalm to help him. Poor fellow, it must be agony for him.
     
    #9 chillminx, Aug 17, 2019
    Last edited: Aug 18, 2019
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  10. chillminx

    chillminx PetForums VIP

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  11. chillminx

    chillminx PetForums VIP

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    @Elousarah - how is your cat today? I have been thinking about him a lot.

    You could talk to the vet about your cat maybe having a steroid injection to reduce the inflammation in his uretha. Adding a steroid may be a better idea than increasing the dose of pain relief. i.e. keep the Metacam dose as it is.
     
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  12. Elousarah

    Elousarah PetForums Junior

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    Hi thank you so much for all your advice and messages. Found some Leucillin today and familiar with Vetbed as our guineapigs have it but didn’t think of it. Last night we took him to the emergency vet again as I thought it can’t be right that he was in that much pain. It was a different vet and he was amazing. He spent over an hour with us (luckily it was 2am so we were the only people there). He gave him an intravenous painkiller to start then put a needle into his bladder which was full and extracted some urine. Then he spent ages showing us properly how to express Teddy’s bladder. He said we need to try and keep it small as it will give the muscles a chance to recover and he said as Teddy’s young he thinks he should recover some muscle tone at least. He said Teddy most likely has abdominal pain as well as sore bits that were twitching. He prescribed some stronger painkiller and Hypovase 3 times a day to help with his bits twitching. He gave him another 24 hour injection that he said will help with abdominal side of things and some tablets, also to carry on with the metacam dose as his blood test results are ok and it helps with inflammation. Teddy frustratingly won’t eat the wet struvite food a different vet prescribed earlier this week only the dry, but this vet said we could try small amounts of a different wet food mixed with water along with the dry struvite food to start with if that’s all he’ll eat. So I bought a Lilly’s kitchen to try, he’s so fussy. So any recommendations on decent quality wet foods we can try would help. We’ve got a couple of days worth of all the painkillers and was a bit nervous about giving him so much medication but he’s like a different cat today. Purring, playing and no cries of pain. They are also prescribing another drug that should encourage his bladder to contract, they’ve had to order it in so we should collect that tomorrow. He’s still dribbling slightly but my partner managed to express a decent amount of urine earlier, first time we’ve done it successfully. Teddy wasn’t keen on it but I’m so happy that we managed it. Afterwards he went to the litter tray twice and did two tiny wees. He’s hardly licking his bits either so hopefully they’ll have a chance to recover from being sore and we got some of the shampoo and cleaned him. The vet also did not charge us the emergency consultation fee just the standard fee even though we were there at 2am in the morning for over an hour! Our previous vet who referred us was charging full consultation fees every time, plus extra time fees.
    If the muscle contract medication doesn’t work they said they’d recommend a 5 day stay at the hospital with a catheter to allow his bladder to completely rest.
    So today I’m feeling a bit more positive. Thank you also to @Soozi @Sacremist and any suggestions of decent wet food please (before all this he would only eat Felix Sensations wet food but I’d rather try a really good food to help).
     
  13. Soozi

    Soozi PetForums VIP

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    I love this vet already! Now that’s what I call caring and thorough!
    I am so happy to hear that things are looking so much brighter for Teddy! Don’t worry about all the meds there is a reason for all of them so just carry on with what your vet has prescribed.
    Great that your OH managed expressing his bladder! Let him carry on with that and watch carefully when he does it the next time. I hope Teddy won’t need a catheter but the vet made perfect sense if it is necessary. Try not to worry too much because I think he will be fine.
    I can’t help re food as I’m in Spain and we don’t get the variety here that you can get in the U.K.
    keep us updated on Teddy he’s being such a brave little man. ❤️ xxx
     
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  14. Sacremist

    Sacremist Mum to 2 cats and a dog

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    Glad to hear such a positive report about the emergency vet and that you have been able to express some urine out of his bladder.

    I think @chillminx is the best one to ask about food. Zooplus does a nice range of good quality, high protein, grain free food. Mine quite like Bozita, but due to health issues (kidney failure) I can’t give it to them anymore. xx
     
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  15. chillminx

    chillminx PetForums VIP

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    Hello again @Elousarah, thank you for your informative update. I am so pleased with the good news. :)

    I am very happy to hear you had a positive experience with the out of hours vet and am relieved Teddy has been helped with more pain relief. Also excellent that the vet showed you how to express Teddy's bladder and that your partner was able to do this successfully at home, later. Well done! :)

    Lily's Kitchen wet is a good food for Teddy, as it's high in moisture and contains zero carbs. It is also high in meat protein which is important in managing bladder issues. A high moisture content dilutes the urine and the minerals in the bladder and helps alleviate discomfort. A higher volume of urine encourages the cat to empty his/her bladder more frequently and reduces the risk of struvite and calcium oxalate stone formation.

    If you can manage, it I would try and avoid Felix and Whiskas as the carb levels are quite high and the foods contain a high percentage of vegetable protein which cats can't digest properly as they lack the right enzyme.; Also vegetable protein makes the urine alkaline and cats need an acidic urine to keep UTIs at bay.

    If you can get Teddy eating a good quality wet food high in meat protein, it is less important for him to eat the veterinary food.

    Wet foods to consider for Teddy:

    From Zooplus UK :

    Animonda Carny Adult tins 3.3% carbs

    https://www.zooplus.co.uk/shop/cats/canned_cat_food_pouches/rafine/animonda_carny_adult/14033

    Catz Finefood pouches or tins
    - Poultry 2% carbs;
    - Beef & Duck 1.5% carbs
    - Lamb & Buffalo 3% carbs
    - Salmon & Poultry 1.9% carbs

    https://www.zooplus.co.uk/shop/cats/canned_cat_food_pouches/catz_finefood/catz_finefood_cans/364511

    Smilla chunks in jelly in tetrapacks - low in carbs

    https://www.zooplus.co.uk/shop/cats/canned_cat_food_pouches/smilla/smilla_tetra_recart/644606

    Smilla in cans - most flavours are 0% carbs

    Thrive Complete Chicken 2% carbs

    https://www.zooplus.co.uk/shop/cats/canned_cat_food_pouches/thrive_complete/274679

    Wild Freedom tins - all flavours are low in carbs.

    https://www.zooplus.co.uk/shop/cats...ild_freedom_wet/wild_freedom_adult_wet/656916


    From UK pet stores e.g. Pets at Home: Natures Menu pouches, Country Hunter pouches, Wainwrights tins, Little Big Paw, Miaowing Heads.

    Please let us know how Teddy goes on. I hope he continues to make good progress. x
     
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  16. Elousarah

    Elousarah PetForums Junior

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    Brilliant thank you for your advice, I’ll have a look at those. It may be trial and error with fussy Teddy to find one he likes but my other cat eats most things so shouldn’t go to waste lol.
     
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  17. NaomiM

    NaomiM Love my furry, feathered and finned family

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  18. Elousarah

    Elousarah PetForums Junior

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    Hi thank-you I will have a look. My original vet said he was sure he had oxylate crystals from the urinalysis (because the ph was a certain something) but that they were hard to see. The food they prescribed him at first is Virbac struvite dissolution dry, then they also gave us the wet food too but he won’t touch it. The specialist vet who carried out the ultrasound said there was sediment and possible infection symptoms, they are going to ring with the proper results tomorrow. It’s just a bit confusing as to what’s best but hopefully know more after the results. I definitely want to try and get him on some wet food.
     
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  19. Soozi

    Soozi PetForums VIP

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    How is Teddy today lovie? xxx
     
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  20. Elousarah

    Elousarah PetForums Junior

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    Hi Soozi, we managed to express a good amount this morning and then he went on the litter tray and did a tiny bit more. It may be the effects of the drugs but he keeps sitting and staring at me until I play or fuss him and then lots of purring :) Hoping to hear from the vet today regarding the results of the urinalysis, as there seemed to be symptoms of both infection and crystals and also waiting for the drug they ordered that’ll encourage his bladder muscle to work. It’s been 12 days now since we got back from holiday and found him ill, I’m hoping with help of all the meds he’s making a tiny bit of progress each day, fingers crossed xxx
     
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